Teen-HS & Gap Year Scholarship Info Form
Whether it's a High School program in Israel, a summer trip or a gap year we know you're going to love Israel. The Jewish Federation of Greater Portland, Oregon Jewish Community Foundation & Oregon Board of Rabbis are here to support your plans with scholarships to offset the costs of an Israel experience.
Please complete this form so we can see your eligibility for the various community offerings.
Student Name *
Your answer
Parent 1 Name *
Your answer
Parent 2 Name
Your answer
Home Address *
Your answer
Student Phone *
Your answer
Primary Family Phone
Your answer
Student Email *
Your answer
Parent 1 Email *
Your answer
Parent 2 Email
Your answer
Israel Program Attending (Specific name & date range) *
Your answer
Published Cost of Program *
Your answer
Please email a copy of your program acceptance letter to laurar@jewishportland.org AND rachelr@jewishportland.org
Synagogue Affiliation (if applicable)
Your answer
If synagogue member, are you in your synagogue's Hebrew High Program?
Your answer
For Hebrew High Participants, have you signed a Teen Israel agreement?
Are you an active member of a Jewish youth group? If yes, which one(s) and what's the nature of your involvement (local or regional board)?
Your answer
Do/did you attend a day or overnight Jewish camp? If yes, which one(s) and how many summers?
Your answer
Do/did you attend a Jewish day school? If yes, which one(s) and for what grade(s)?
Your answer
Any other Jewish activities you were/are involved with in Middle School/High School(e.g. OJCYF, one on one learning, etc.)?
Your answer
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